青少年握力与血压的相关性研究

赵苗苗; 孙英贤; 李觉

doi:10.16462/j.cnki.zhjbkz.2020.06.013

青少年握力与血压的相关性研究

doi: 10.16462/j.cnki.zhjbkz.2020.06.013

1.
201318 上海, 上海健康医学院临床医学院
2.
110001 沈阳, 中国医科大学附属第一医院心内科
3.
200092 上海, 同济大学医学院心律失常教育部重点实验室

基金项目: 上海市卫生健康委员会卫生行业临床研究专项(20194Y0116); 2020年教师专业发展工程项目(A3-2601-20-311001)

详细信息

通讯作者:
李觉, E-mail:jueli@tongji.edu.cn

中图分类号: R544.1
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出版历程
- 收稿日期: 2019-11-18
- 修回日期: 2020-03-01
- 刊出日期: 2020-06-10

The association between handgrip strength and blood pressure among adolescents

1.
School of Clinical Medicine, Shanghai University of Medicine and Health Sciences, Shanghai 201318, China
2.
Department of Cardiology, the First Hospital of China Medical University, Shenyang 110001, China
3.
Key Laboratory of Arrhythmias of Ministry of Education of China, Tongji University School of Medicine, Shanghai 200092, China

Funds: Clinical Research Project of Shanghai Municipal Health Commission(20194Y0116); Program of Teachers Professional Development in 2020(A3-2601-20-311001)

More Information

Corresponding author: LI Jue, E-mail:jueli@tongji.edu.cn

摘要

摘要: 目的应用2014年辽宁省学生体质与健康调研资料分析青少年握力与血压的相关性。方法本研究选取16 892例13~18岁汉族初、高中学生为研究对象。握力的测量为用有力手最大力紧握握力计, 测试2次取最大值。采用一般线性回归模型分析握力与血压的关系。将相关变量按照年龄、性别Z评分转换后进行分析。结果调节年龄、性别、地区、体重指数(body mass index, BMI)、每天体育锻炼时间和心肺功能后, 在男生及女生中, 握力与收缩压及舒张压均呈正相关(均有P < 0.001)。将握力四分位分组, 随着握力的增加, 收缩压及舒张压值均逐渐增大(均有P_趋势 < 0.001)。结论青少年肌肉力量与血压之间呈正相关关系。今后将探索青少年握力与血压相关性的机制, 以进一步确定增加肌肉力量的抗阻训练是否可以在青少年中广泛开展。
- 握力 /
- 血压 /
- 青少年
Abstract: Objective To examine the association between handgrip strength and blood pressure(BP) in adolescents using the data obtained from survey on the constitution and health of students in Liaoning province in 2014. Methods A total of 16 892 Chinese Han junior and senior high school students aged 13-18 years were included in this study. Participants gripped the dynamometer with their dominant hand for twice, and the maximum value was recorded. General linear regression models were used to analyze the associations between handgrip strength and BP, while related variables were converted to age-and sex-specific z-scores. Results After adjustment for age, sex, region, body mass index, physical activities, and cardiorespiratory fitness, handgrip strength is positively associated with systolic BP and diastolic BP in both men and women(all P < 0.001).There was an increasing trend in systolic and diastolic BP as handgrip strength increased from the bottom quartile to the top quartile(all P_trend < 0.001). Conclusions There is a positive association between handgrip strength and BP in adolescents, the mechanisms of which will be explored to determine whether resistance training to increase muscle strength can be widely carried out among adolescents.
- Handgrip strength /
- Blood pressure /
- Adolescents

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图 1 握力Z评分四分位分组下的收缩压及舒张压水平

Figure 1. Systolic blood pressure and diastolic blood pressure by age- and sex-specifichandgrip strength quartile

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图 2 握力Z评分四分位分组下的收缩压及舒张压Z评分

Figure 2. Z-scores of systolic blood pressure and diastolic blood pressure by age- and sex-specific handgrip strength quartile

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表 1 13~18岁青少年的一般特征(x±s)

Table 1. Characteristics of the adolescents aged 3-18years(x±s)

变量	男生(n=8 477)	女生(n=8 415)	t /χ²值	P值
年龄(岁)	15.44±1.70	15.47±1.70	-1.138	0.255
城市[n(%)]	4 258(50.2)	4 148(49.3)	1.483	0.223
身高(cm)	171.24±7.67	161.53±5.64	93.822	< 0.001
体重(kg)	62.64.24±13.43	53.53±9.35	51.194	< 0.001
BMI (kg/m²)	21.27±3.93	20.48±3.24	14.201	< 0.001
握力(kg)	36.87±10.60	23.50±6.58	98.545	< 0.001
收缩压(mmHg)	116.76±10.98	110.45±10.49	38.190	< 0.001
舒张压(mmHg)	72.90±8.63	70.34±8.63	19.226	< 0.001
体育锻炼时间(h/d)	0.93±0.60	0.81±0.52	13.224	< 0.001
心肺功能/耐力跑时间(s)	277.24±47.90	269.65±39.18	11.285	< 0.001

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表 2 青少年握力与血压关系的一般线性回归分析

Table 2. General linear regression analysis of the association between handgrip strength and blood pressure among adolescents

握力Z评分	收缩压Z评分			舒张压Z评分
握力Z评分	(β± S_x)值	P值		(β± S_x)值	P值
全人群
模型1	0.15±0.01	< 0.001	0.10±0.01			< 0.001
模型2	0.10±0.01	< 0.001	0.07±0.01			< 0.001
男生
模型1	0.17±0.01	< 0.001	0.09±0.01			< 0.001
模型2	0.11±0.01	< 0.001	0.05±0.01			< 0.001
女生
模型1	0.14±0.01	< 0.001	0.11±0.01			< 0.001
模型2	0.09±0.01	< 0.001	0.09±0.01			< 0.001
注:模型1:调整年龄、性别、地区; 模型2:调整年龄、性别、地区、BMIZ评分、每天体育锻炼时间Z评分、耐力跑时间Z评分。

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参考文献(28)

[1]	Fuentes RM, Notkola IL, Shemeikka S, et al. Tracking of systolic blood pressure during childhood: A 15-year follow-up population-based family study in eastern Finland[J]. Journal of Hypertension, 2002, 20(2): 195-202.DOI: 10. 1097/00004872-200202000-00008.
[2]	Chen X, Wang Y. Tracking of blood pressure from childhood to adulthood: a systematic review and meta-regression analysis[J]. Circulation, 2008, 117(25): 3171-3180.DOI: 10. 1161/CIRCULATIONAHA. 107. 730366.
[3]	Bao W, Threefoot SA, Srinivasan SR, et al. Essential hypertension predicted by tracking of elevated blood pressure from childhood to adulthood: the bogalusa heart study[J]. American Journal of Hypertension, 1995, 8(7): 657-665.DOI: 10. 1016/0895-7061(95)00116-7.
[4]	McNiece KL, Gupta-Malhotra M, Samuels J, et al. Left ventricular hypertrophy in hypertensive adolescents: analysis of risk by 2004 national high blood pressure education program working group staging criteria[J]. Hypertension, 2007, 50(2): 392-395.DOI: 10. 1161/HYPERTENSIONAHA. 107. 092197.
[5]	Brady TM, Fivush B, Flynn JT, et al. Ability of blood pressure to predict left ventricular hypertrophy in children with primary hypertension[J]. Journal of Pediatrics, 2008, 152(1): 73-78.DOI: 10. 1016/j. jpeds. 2007. 05. 053.
[6]	Stabouli S, Kotsis V, Rizos Z, et al. Left ventricular mass in normotensive, prehypertensive and hypertensive children and and adolescents[J]. Pediatric Nephrology, 2009, 24(8): 1545-1551.DOI: 10. 1007/s00467-009-1165-2.
[7]	Lurbe E, Álvarez J, Redon J. Diagnosis and treatment of hypertension in children[J]. Current Hypertension Reports, 2010, 12(6): 480-486.DOI: 10. 1007/s11906-010-0155-x.
[8]	Leong DP, Teo KK, Rangarajan S, et al. Prognostic value of grip strength: findings from the prospective urban rural epidemiology(PURE)study[J]. Lancet, 2015, 386(9990): 266-273.DOI: 10. 1016/S0140-6736(14)62000-6.
[9]	Kodama S, Saito K, Tanaka S, et al. Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: a meta-analysis[J]. JAMA, 2009, 301(19): 2024-2035.DOI: 10. 1001/jama. 2009. 681.
[10]	Ortega FB, Silventoinen K, Tynelius P, et al. Muscular strength in male adolescents and premature death: cohort study of one million participants[J]. BMJ, 2012, 345: e7279.DOI: 10. 1136/bmj. e7279.
[11]	Froberg K, Andersen LB.Mini review:physical activity and fitness and its relations to cardiovascular disease risk factors in children[J].Int J Obes (Lond), 2005, 29(Suppl2):S34-S39. http://europepmc.org/abstract/MED/16385750
[12]	Ruiz JR, Ortega FB, Rizzo NS, et al. High cardiovascular fitness is associated with low metabolic risk score in children: the European Youth Heart Study[J]. Pediatr Res, 2007, 61(3): 350-355.DOI: 10. 1203/pdr. 0b013e318030d1bd.
[13]	Ortega FB, Ruiz JR, Castillo MJ, et al. Physical fitness in childhood and adolescence: a powerful marker of health[J]. Int J Obes(Lond), 2008, 32(1): 1-11.DOI: 10. 1038/sj. ijo. 0803774.
[14]	Wind AE, Takken T, Helders PJ, et al. Is grip strength a predictor for total muscle strength in healthy children, adolescents, and young adults?[J]Eur J Pediatr, 2010, 169(3): 281-287.DOI: 10.1007/s00431-009-1010-4.
[15]	Peterson MD, Saltarelli WA, Visich PS, et al. Strength capacity and cardiometabolic risk clustering in adolescents[J]. Pediatrics, 2014, 133(4): e896-e903.DOI: 10. 1542/peds. 2013-3169.
[16]	Smith JJ, Eather N, Morgan PJ, et al. The health benefits of muscular fitness for children and adolescents: a systematic review and meta-analysis[J]. Sports Med, 2014, 44(9): 1209-1223.DOI: 10. 1007/s40279-014-0196-4.
[17]	Dong B, Wang Z, Arnold L, et al. The association between blood pressure and grip strength in adolescents: does body mass index matter[J]. Hypertens Res, 2016, 39(12): 919-925.DOI: 10. 1038/hr. 2016. 84.
[18]	Demmer DL, Beilin LJ, Hands B, et al. Effects of muscle strength and endurance on blood pressure and related cardiometabolic risk factors from childhood to adolescence[J]. J Hypertens, 2016, 34(12): 2365-2375.DOI: 10. 1097/HJH. 0000000000001116.
[19]	Zhang R, Li C, Liu T, et al. Handgrip strength and blood pressure in children and adolescents: evidence from NHANES 2011 to 2014[J]. Am J Hypertens, 2018, 31(7): 792-796.DOI: 10. 1093/ajh/hpy032.
[20]	Cohen DD, López-Jaramillo P, Fernández-Santos JR, et al. Muscle strength is associated with lower diastolic blood pressure in schoolchildren[J]. Prev Med, 2017, 95: 1-6.DOI: 10. 1016/j. ypmed. 2016. 11. 006.
[21]	Cohen DD, Gómez-Arbeláez D, Camacho PA, et al. Low muscle strength is associated with metabolic risk factors in Colombian children: the ACFIES study[J]. PLoS One, 2014, 9(4): e93150.DOI: 10. 1371/journal. pone. 0093150. eCollection 2014.
[22]	Artero EG, Ruiz JR, Ortega FB, et al. Muscular and cardiorespiratory fitness are independently associated with metabolic risk in adolescents: the HELENA study[J]. Pediatr Diabetes, 2011, 12(8): 704-712.DOI: 10. 1111/j. 1399-5448. 2011. 00769. x.
[23]	Faigenbaum AD, Kraemer WJ, Blimkie CJ, et al. Youth resistance training: updated position statement paper from the national strength and conditioning association[J]. J Strength Cond Res, 2009, 23(5 Suppl): S60-S79.DOI: 10. 1519/JSC. 0b013e31819df407.
[24]	Artero EG, Lee DC, Lavie CJ, et al. Effects of muscular strength on cardiovascular risk factors and prognosis[J]. J Cardiopulm Rehabil Prev, 2012, 32(6): 351-358.DOI: 10. 1097/HCR. 0b013e3182642688.
[25]	Pate R, Oria M, Pillsbury L.Fitness measures and health outcomes in youth[M].The National Academies Press: Washington, DC, USA, 2012.
[26]	Sedgwick P. Standardising outcome measures using z scores[J]. BMJ, 2014, 1349: g5878.DOI: 10. 1136/bmj. g5878.
[27]	Miyachi M, Kawano H, Sugawara J, et al. Unfavorable effects of resistance training on central arterial compliance: a randomized intervention study[J]. Circulation, 2004, 110(18): 2858-863.DOI: 10. 1161/01. CIR. 0000146380. 08401. 99.
[28]	Cortez-Cooper MY, De-Van AE, Anton MM, et al. Effects of high intensity resistance training on arterial stiffness and wave reflection in women[J]. Am J Hypertens, 2005, 18(7): 930-934.DOI: 10. 1016/j. amjhyper. 2005. 01. 008.